Does CMS pay for HAC?
The Hospital-Acquired Condition (HAC) Reduction Program is a value-based-purchasing program for Medicare that supports the Centers for Medicare and Medicaid Services’ (CMS’) long-standing effort to link Medicare payments to healthcare quality in the inpatient hospital setting.
Does Medicare pay for hospital-acquired conditions?
Starting in 2009, Medicare, the US government’s health insurance program for elderly and disabled Americans, will not cover the costs of “preventable” conditions, mistakes and infections resulting from a hospital stay.
What is included in HAC score calculation?
With the Equal Measure Weights approach, CMS calculates each hospital’s Total HAC Score as the equally weighted average of the hospital’s measure scores. CMS calculates each hospital’s Total HAC Score as the sum of the contributions of Winsorized z-scores to Total HAC score for each measure.
How does HAC affect reimbursement?
To address CLABSI prevention, the Affordable Care Act created the HAC Reduction Program, which requires the Centers for Medicare & Medicaid Services (CMS) to lower in-patient reimbursement by 1% for hospitals with HAC scores that place them among the lowest-performing 25% of hospitals with regard to HACs.
When did the initial payment implications begin for hospital acquired conditions?
Payment implications began October 1, 2008, for these Hospital Acquired Conditions. The IPPS FY 2009 Final Rule is available in the Statute/Regulations/Program Instructions section, accessible through the navigation menu at left.
What are hospital acquired conditions (HAC)?
Policy Overview Hospital Acquired Conditions (HAC) are serious conditions that patients get during an inpatient hospital stay. If hospitals follow proper procedures, patients are less likely to get these conditions.
Do the hhac payment provision and the POA indicator requirement apply to all hospitals?
The HHAC payment provision and the POA Indicator requirement only apply to IPPS Hospitals. At this time, the following hospitals are exempt from the POA indicator requirement: Critical Access Hospitals (CAHs) Long-Term Care Hospitals (LTCHs)
What types of hospital payments are first adjusted for adjustments?
We first adjust payments for the Hospital Value-Based Purchasing Program, Hospital Readmissions Reduction Program, disproportionate share hospital payments, and indirect medical education payments based on the base-operating diagnosis-related group amount.